| NPI | 1942089651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHU TRINH Director Of Pharmacy Operations 833-428-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |